RELIAS: NURSING CARE OF THE

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RELIAS: NURSING CARE OF THE

PATIENT WITH OBSTETR IC AND

POSTPARTUM HEMORRHAG E

ASSESSMENT | QUESTIONS AND

CORRECT ANSWER S | LATEST

UPDATE | GRADED A+

Question : During a cesarean, the provider communicates

that the drapes have been suctioned out prior to the delivery of the placenta.The nurse notes the suction canister has 350 mL of blood- tinged fluid in it. The nurse quickly switches to a new suction canister prior to the delivery of the placenta. As the fascia is closed, the provider again suctions the drape, and the nurse notes 600 mL of blood in the new canister.Twenty sponges in 4 sponge counter bags are weighed with a total amount of 400 g. The nurse knows the dry weight of 20 sponges and 4 counter bags is 250 g.What amount of quantitative blood loss does the nurse record for this birth?Select an answer.• 600 mL 1350 ml

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• 750°mL • 1100 mL

CORRECT ANSWER : 750°mL

Question : Early nursing interventions in a Stage 1

hemorrhage include:

Select an answer.• Administering uterotonics, drawing labs, and moving to the OR • Massaging the fundus, ambulating the patient, and quantifying blood loss • Massaging the fundus, emptying the bladder, and quantifying blood loss O Evaluating vital signs, assessing for cervical lacerations, and administering IV fluids

CORRECT ANSWER : Massaging the fundus, emptying

the bladder, and quantifying blood loss

Question : Ms. Diaz expels a grapefruit-sized clot. The

nurse massages Ms. Diaz fundus and informs the physician that the patient has entered Stage 2 of hemorrhage. The physician states, "Let's just watch her over the next hour." What should the prudent nurse do?Select an answer.

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• State that for a Stage 2 hemorrhage, the protocol recommends that the provider evaluates the patient and orders a uterotonic.O Follow the physician's order, as it is the physician's call, not the nurse's.• Tell the patient that the doctor does not seem to think her bleeding is concerning.• Ask the senior nurse what to do, and follow that advice.

CORRECT ANSWER : State that for a Stage 2

hemorrhage, the protocol recommends that the provider evaluates the patient and orders a uterotonic.Question : A hemorrhage risk assessment is completed: SATA

• Upon admission
• Throughout labor, as risk factors develop
• Prior to birth
• Hourly in labor

CORRECT ANSWER : 1. Upon admission

• Throughout labor, as risk factors develop
• Prior to birth

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Question : Question 15 of 63

The nurse reports that the quantitative blood loss (QBL) from the under-buttocks drape after the vaginal birth is 745 mL after dry weights and pre-placental fluids have been subtracted. Prior to the provider leaving the room, the obstetric team decides to re-evaluate bleeding, fundal height, and vital signs. The decision for heightened

surveillance is made because:

Select an answer.

• The team mistakenly diagnoses a hemorrhage despite

the fact that QBL is <1000 mL.

• Cumulative QBL is not accurate enough to diagnose

obstetric hemorrhage.

• The team correctly identifies 745 mL as an abnormal

amount of blood loss for a vaginal birth, warranting close monitoring.

• Some providers are more cautious than others, and

management depends on the individual provider.

CORRECT ANSWER : c. The team correctly identifies

745 mL as an abnormal amount of blood loss for a vaginal birth, warranting close monitoring.Though the standard definition of a hemorrhage is blood loss >1000 mL, blood loss